中药结合“醒脑开窍”针法治疗中风后痉挛性瘫痪

Traditional Chinese Medicine Prescription Combined with Xingnao Kaiqiao Acupuncture Therapy in treating Spastic Paralysis After Stroke

目的探讨自拟中药方配合"醒脑开窍"针刺法治疗中风后痉挛性瘫痪的临床疗效及安全性。方法选取我院2016年7月-2017年8月期间收治的120例中风后痉挛性瘫痪患者作为研究对象,按照随机的方法分为观察组和对照组,各60例。对照组给予单纯康复治疗,观察组患者运用自拟中药方配合"醒脑开窍"针刺法治疗。评价2组患者的临床疗效、不良反应、运动功能(Fugl-Meyer)、改良Barthel指数评分(MBI)改善情况。结果观察组患者临床总有效率为95.00%,优于对照组的76.67%(P <0.05);观察组患者仅1例出现恶心,对照组患者共出现5例不良反应,差异有统计学意义(P <0.05);观察组治疗后的MBI评分和FMA显著优于对照组和治疗前,差异有统计学意义(P <0.05)。结论自拟中药方配合"醒脑开窍"针刺法治疗中风后痉挛性瘫痪,可醒脑开窍,活血化瘀,促进静脉张力,改善脑循环,保护脑细胞,进而改善患者的运动功能,提高预后生活质量。

Objective To explore the clinical efficacy and safety of self made Traditional Chinese medicine prescription combined with Xingnao Kaiqiao acupuncture in treating spastic paralysis after stroke. Methods 120 patients with spastic paralysis after the stroke from July 2016 to August 2017 were selected as the research subjects and divided into the observation group(n = 60) and the control group(n = 60) according to the random methods. The control group was given the simple rehabilitation treatment. The patients in the observation group were treated with the traditional Chinese medicine prescription and the Xingnao Kaiqiao acupuncture. The clinical efficacy, adverse reactions, motor function(Fugl-Meyer) and modified Barthel index(MBI) were compared between the two groups.Results The total clinical effective rate of the patients in the observation group was 95.00%, which was better than that of the control group(76.67%)(P < 0.05). There was only one case of nausea in the observation group and five cases in the control group, the dif ference was statistically significant(P < 0.05). The MBI score and FMA in the observation group were significantly better than those in the control group and before the treatment, the dif ference was statistically significant(P < 0.05). Conclusion The traditional Chinese medicine prescription combined with Xingnao Kaiqiao acupuncture method in the treatment of spastic paralysis after apoplexy can awaken the brain and open the orifices,invigorate blood circulation, remove blood stasis, promote venous tension, improve cerebral circulation, protect brain cells, and then improve the patients’ motor function, improve the quality of life of prognosis.